Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One and Grief: The Great Yearning, “an exquisite book, wrenching to read, and at the same time full of profound truths.” Bertram is also the author of the suspense novels Unfinished, Madame ZeeZee’s Nightmare, Light Bringer, Daughter Am I, More Deaths Than One, and A Spark of Heavenly Fire.

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I’ve been working on my book about grief, which is why you haven’t seen me here much. I’m spending most of my words on the book; most of my time, too, so I haven’t had anything much to talk about.

Until today.

In my research for the book, I keep stumbling upon a particularly odious phrase, “complicated grief.” We all know grief is complicated, straining, as it does, all our physical, mental, emotional, even spiritual resources beyond their limits. Complicating grief even more is its illogicalness, our inability to rationalize death, the unexpected and sudden triggers and upsurges of sorrow, having to find meaning and rebuild our lives after the death of person fundamental to our life, and a dozen other such complications.

But this is not what the professionals call “complicated grief.” To them, complicated grief is a medical condition that needs treatment. According to the Mayo clinic, signs and symptoms include:

Intense sorrow, pain and rumination over the loss of your loved one

Focus on little else but your loved one’s death

Extreme focus on reminders of the loved one or excessive avoidance of reminders

Intense and persistent longing or pining for the deceased

Problems accepting the death

Numbness or detachment

Bitterness about your loss

Feeling that life holds no meaning or purpose

Inability to enjoy life or think back on positive experiences with your loved one

Um, folks. This is called grief. Pure and simple.

The professionals say everyone grieves differently, but if your grief differs too much from other people’s grief, then you might have complicated grief disorder. I’ve been reading enough scholarly papers to know how they decide what is “normal.” They interview people. And if you’re one of the 7-15% whose grief falls outside the “norm,” then you have complicated grief disorder, no matter who died or how they died. (Apparently, in their studies, an aged parent who died quietly in bed should be grieved the same as a child who was murdered, and if it’s not, then the murdered child’s parent might have complicated grief disorder.)

They say grief takes as long as it takes, but if your grief takes longer than other people’s, then you might have CG. (Cute name, huh?)

According to one research paper I read, reactions such as having difficulty accepting the death, searching for and preoccupation with thoughts of the deceased, or being stunned by the death may well indicate complicated grief if they are present beyond the first few months after the loss. Thus, complicated grief involves the presentation of certain grief-related symptoms at a time beyond that which is considered adaptive. We hypothesize that the presence of these symptoms after approximately 6 months puts the bereaved individual at heightened risk for enduring social, psychological, and medical impairment.

Six months? Huh???? It takes at least a year just to get over the shock of it all!!!

The same study says: Complicated grief is the failure to return to preloss levels of performance or states of emotional wellbeing. Again, huh? Don’t they realize that once you have lost your life mate/soul mate, you can never return to preloss levels of anything. Everything changes, including us. Grief is a matter of becoming. Becoming the person who can survive the loss. Becoming the person who can live comfortably in a suddenly alien and hostile world. Becoming the person we need to be in order to find a new state of emotional wellbeing.

The professionals say if you have strong feelings of yearning for your deceased loved one, you might have complicated grief disorder, but studies have shown that yearning is the primary emotion of grief after the death of someone intrinsic to our lives.

They say that everyone’s loss is different, but they treat all losses as if they were the same. The Center for Complicated Grief at Columbia University says: Mental health training does not usually include learning about the syndrome of complicated grief. However, trainees often are taught that grief is complicated if there was an ambivalent relationship to the person who died. This is a misconception. Adapting to a loss is more difficult if a person can imagine how things could have been different. People might do this because the relationship was conflictual. However, this is uncommon. Most people with complicated grief have had an especially strong and rewarding relationship to the person who died.

So, let me get this straight. If we have had an especially strong and rewarding relationship with the person who died, as we do with a life mate/soul mate, the resulting profound grief is . . . wrong?

How the heck to do these people think? Don’t they read what they write? Do they truly have no idea that the loss of a distant cousin, for example, no matter how well loved, might . . . just might . . . be different from the loss of the person we intimately shared a life with?

Or maybe they are saying that the strong relationship is bad? Oh, right they do say that. They call it co-dependency. Cripes. What a world.

Apparently, they don’t understand that love is an interdependent relationship. They don’t understand how important love is and that the loss can be so devastating that you cannot get over it in a few months, and that such grief is not a disorder but an absolutely normal order. They don’t understand about the constant triggers that remind us that we’re alone. When you lose your one true love to death, all of a sudden you are supposed to be able to slough off your loss as if love didn’t matter, and go on with your life. Everyone else is celebrating their love, but you are supposed to accept that yours is over and you are supposed to have a good attitude so you inconvenience others as little as possible.

Because oh, yes, not only do we have our grief to contend with, we have the whole sociological horror to deal with: friends and family — and even mere acquaintances — who don’t understand what we’re going through trying to control our grief, sometimes with gentle (and not so gentle) reminders that we have to move on. People who are uncomfortable in our presence or who find our grief and inconvenient reminder of the fragility of life shunting us off to the side. And of course, amateur and professional psychologists who try to define our grief as a disorder or a syndrome.

The grief — the normal grief — for a life mate can take years. We’re not necessarily actively mourning all that time; we often have long patches of peace. (According to the American Cancer Society, mourning is the outward expression of loss and is part of the grieving process. Grieving is the process of coming to terms with the loss. Researchers often get this backward, which complicates even further their already complicated papers on complicated grief.)

It takes a very long time to process death, to come to terms with our shattered couplehood, and to find a new way of living that can encompass the loss. In fact, I have found a distinct pattern to grief after the loss of life mate to whom we had a particularly strong attachment, and if the professionals had been reading this blog all these years, they’d see it too.

I do understand that some people get stuck in unhealthy thoughts and actions and so need help to get unstuck, but for most of us who have lost our life mate/soul mate, if we let grief do its work — no matter how hard it is or how long it takes, and no matter how abnormal it might appear to outsiders — we will get to where we need to be.

Maybe I should write a book about grief and tell the truth.

Oh . . . right. I am. Perhaps the professionals will even read it and learn something.

Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One debunks many established beliefs about what grief is, explains how it affects those left behind, and shows how to adjust to a world that no longer contains the loved one. “It is exactly what folk need to read who are grieving.”(Leesa Heely Emotional/Mental Health Therapist & Educator ).

Other books by Pat Bertram

Available online wherever books and ebooks are sold.

Grief: The Great Yearning is not a how-to but a how-done, a compilation of letters, blog posts, and journal entries Pat Bertram wrote while struggling to survive her first year of grief. This is an exquisite book, wrenching to read, and at the same time full of profound truths.

While sorting through her deceased husband’s effects, Amanda is shocked to discover a gun and the photo of an unknown girl who resembles their daughter. After dedicating her life to David and his vocation as a pastor, the evidence that her devout husband kept secrets devastates Amanda. But Amanda has secrets of her own. . .

When Pat’s adult dance classmates discover she is a published author, the women suggest she write a mystery featuring the studio and its aging students. One sweet older lady laughingly volunteers to be the victim, and the others offer suggestions to jazz up the story. Pat starts writing, and then . . . the murders begin.

Thirty-seven years after being abandoned on the doorstep of a remote cabin in Colorado, Becka Johnson returns to try to discover her identity, but she only finds more questions. Who has been looking for her all those years? And why are those same people interested in fellow newcomer Philip Hansen?

When twenty-five-year-old Mary Stuart learns she inherited a farm from her recently murdered grandparents -- grandparents her father claimed had died before she was born -- she becomes obsessed with finding out who they were and why someone wanted them dead.

In quarantined Colorado, where hundreds of thousands of people are dying from an unstoppable, bio-engineered disease, investigative reporter Greg Pullman risks everything to discover the truth: Who unleashed the deadly organism? And why?

Bob Stark returns to Denver after 18 years in SE Asia to discover that the mother he buried before he left is dead again. At her new funeral, he sees . . . himself. Is his other self a hoaxer, or is something more sinister going on?